Active NPI
Edward Neil Reiter, D.D.S.
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1427240761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9697
- Practice address
- 8620 Calmont Ave
Fort Worth, TX 76116-2802 - Phone
- (817) 244-6315
- Fax
- (817) 244-4530
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9697 | TX | Primary |
Addresses
Primary practice location
8620 Calmont Ave
Fort Worth, TX 76116-2802
Mailing address
8620 Calmont Ave
Ft. Worth, TX 76116-2802
Phone (817) 244-6315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9697 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nick Le DDS PLLC | General Practice | Past | Accepting new patients |
| Edward N. Reiter, D.D.S., Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Ft Worth, TX
- NPI 1104847284
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1831928845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1427240761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 CALMONT AVE",
"city": "FT. WORTH",
"state": "TX",
"postal_code": "761162802",
"telephone_number": "817-244-6315",
"fax_number": "817-244-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8620 CALMONT AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761162802",
"telephone_number": "817-244-6315",
"fax_number": "817-244-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITER",
"first_name": "EDWARD",
"middle_name": "NEIL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "9697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.